老年痴呆患者两种体位下插鼻肠管的效果比较

A Comparison of the Effects between Two Nasal-intestinal Tube Intubation Positions for Patients with Senile Dementia

目的 对老年痴呆患者采取两种体位插入鼻肠管的效果进行分析。方法 采用长谷川简易痴呆量表评估为痴呆的患者50例，按插入鼻肠管时间顺序随机分为观察组与对照组，对照组采用去枕平卧位头后仰插入鼻肠管，观察组采用床头抬高70°～80°角，呈坐位插入鼻肠管，对两种不同体位一次插管成功率进行比较。结果 对照组一次插管成功3例，成功率为12％，观察组一次插管成功21例，成功率为84％，经χ^2检验，P〈0．01，差异有统计学意义。结论 对于老年痴呆患者而言，采取坐位较平卧位插入鼻肠管一次插管成功率高，减轻了患者痛苦，并且省时、省力，提高了护士的工作效率。

Objective To analyze the effects of two nasal-intestinal tube intubation positions for patients with senile dementia. Methods Patients evaluated as dementia by Hasegawa Dementia Scale （HDS） were randomly divided into the observation group and the control group based on the time sequence of nasal-intestinal tube intubation. In the control group, tubes were intubated when the patients were in prostration position with the head tilting backwards, while in the observation group, tubes were intubated when the patients were in sitting position with the headboard lifted to form a 70°-80°. The success rates of onetime intubation between the two positions was Compared. Results The control group saw 3 cases of successful onetime intubation with the success rate being 12%, while the observation group 21 cases with the success rate being 84%. The difference was statistically significant （P〈0.01）. Conclusion For patients with senile dementia, nasal-intestinal tube intubation in sitting position is more successful than in prostration position. The former not only reduces patients＇ pain, but also saves time and energy, thus enhanced the work efficiency of the nurses.